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F Zahrawi

Publications and source records attributed to F Zahrawi.

4 recordsLinked to original sources

Microlumbar discectomy. Is it safe as an outpatient procedure?

STUDY DESIGN: This study examines the long-term follow up and satisfaction level of patients who underwent microlumbar discectomy as an outpatient procedure. OBJECTIVE: To confirm that microdiscectomy on an outpatient basis is safe, cost effective, and allows for rapid recovery. SUMMARY OF BACKGROUND DATA: In 1985, the author performed the first outpatient microlumbar discectomy, the first to be reported in the literature. METHODS: From 1985 to 1989, 103 patients underwent microlumbar discectomy. General anesthesia was used, and the microlumbar discectomy technique was mostly consistent with the William and Casper principles. The microlumbar discectomy was performed through a 1-inch incision with minimal or no bone removal. Patients were discharged a few hours after the procedure. RESULTS: All 103 patients were given questionnaires pertaining to their recovery, which averaged 34.6 months. Eighty-three responded. Of those, 73 (88%) reported excellent and good results. All but four patients (4.8%) were satisfied. CONCLUSIONS: Microlumbar discectomy is safe and cost effective when performed as an outpatient procedure. It produces immediate improvement in all patients, and allows early return to jobs and regular activities.

Adult↗

Microlumbar discectomy (MLD).

This is a retrospective study of microlumbar discectomy (MLD), performed between 1983 and 1987. During that period, 60 patients underwent the procedure. At follow-up, after an average of 33.3 months, MLD provided excellent and good results in 93.3% of cases, fair in 3.3%, and failure in 3.3%.

Adolescent↗

Acute compression ulnar neuropathy at Guyon's canal resulting from lipoma.

There is no reported case of acute compression neuropathy of the ulnar nerve at Guyon's canal that has resulted from lipoma. This report describes a 53-year-old carpenter who presented with a 2-day history of ulnar neuropathy. Exploration yielded a lipoma with interstitial hemorrhage that measured 6.5 by 3.7 by 2.0 cm.

Hand↗

Treatment of compression neuropathy of the ulnar nerve at the elbow by epicondylectomy and neurolysis.

Compression neuropathy of the ulnar nerve at the elbow is treated by neurolysis and excision of the medial humeral epicondyle without transposing the ulnar nerve anteriorly. Removal of the medial humeral epicondyle is not associated with loss of motion at the elbow or reduction in strength of finger or wrist flexion because of the multiple muscle origins, as well as the firm healing of the common flexor origin to the resected bone surface. Thirty cases were treated between 1965 and 1977. Treatment halted progression of the disease in all patients. Discomfort and pain subsided in every instance. All 12 of the grade I patients had return of normal nerve function. Four of the 12 grade II patients were left with some weakness. Four of the six grade III patients improved to grade II status. None required secondary procedures on the ulnar nerve.

Elbow Joint↗